缺盆疽者，生肩前陷中。初起肩背拘急，寒热大作，饮食少进，小水不利，即 红肿痛
，有头如水泡，后遂旁生数头，根盘坚硬。此足阳明、手足少阳经积热聚湿所发。宜急治之
，若稍缓必致溃烂。是经少血多气，疮口遂有难合之患。初宜蟾酥丸发汗解毒，更与荆防败
毒散，溃后宜用补托。
痈在肩下膊上，结核如桃，如鹅鸭卵，色赤痛甚， 臂表里俱肿，惟肘节处差小，有
似藕形，故又名藕包毒。属手三阳经，外感风温风火而成。红肿之外无晕者，顺；有晕者，
逆。初起，即当发散解毒；成脓后，治以清营彻热；溃后，以扶脾养阴为主。
胛痈生肩膊后下，胁后外层岐骨缝间，或在左臂，或在右臂。同属手太阳小肠经，由风
火凝结而成。如生在肩前下、胁前外之上骨缝开合空凹陷中，或在左，或在右，同属心包络
经，名曰乐疽，乃血热气郁而成。初起有核，渐肿坚硬，大如鹅卵，疼痛入骨，头疼寒热，
治以荆、防、夏枯草、贝母、丹参、地丁、银花、连翘、丹皮、黄芩、山栀之属。
谨按经云∶西风生于秋，病在肺俞，在肩背，故秋气者，病在肩背，然则肩背之痛，当
责之于肺无疑矣。但有风寒、风热、气盛、气虚、痰饮之别。盖肺主皮毛，皮毛受邪，以传
于肺，郁遏经络，因而作痛，当以辛温之药散之；或风热乘其肺，使气郁甚者，当泻风热，
以辛凉之药解之。又肺主气化，而治节一身，或气盛有余，则壅而不行，阻塞经络，肩背则
痛；或气血不足，则少气不足以息，亦令肩背作痛。盛则苦辛泻之，虚则甘温补之。又肺为
贮痰之器，肺中素有积痰，随气流注经络，以致隧道壅遏为痛，此又当理痰而顺气，盖气清
则痰自化也。外此又有肾气上逆作痛一证，此逆气即阴气也。肾中阳虚，浊阴之气始得上干
清阳之位，此当甘辛温药峻补真阳，而驱逐阴邪。若专理肺气，反为诛伐无过。臂痛之证，
或为风寒湿所搏；或痰饮流入经隧，或因挈重伤筋所致，或因气血凝滞经络不行而作痛。其
于治法，风则散之，寒则温之，痰则理之；若因伤筋而血瘀，治以通经而活血。诸法之内，
总当佐以姜黄、桂枝，以其横行，为手臂之引经也。
缺盆疽，生长在肩前凹陷处。初起时肩背部拘紧急迫，寒热症状剧烈，饮食减少，小便不通利，随即出现红肿疼痛，疮头像水泡一样，随后旁边又生出几个头，根部盘结坚硬。这是足阳明经、手阳明经、手少阳经和足少阳经积热聚湿所致。应当紧急治疗，如果稍微迟缓，必然导致溃烂。这条经脉气血特点是血少气多，所以疮口会有难以愈合的隐患。初期适宜用蟾酥丸发汗解毒，再配合荆防败毒散；溃破后适宜使用补托法。
痈生在肩膀下方、上臂上方，肿块像桃核或鹅鸭蛋大小，颜色红赤，疼痛剧烈，手臂内外都肿胀，只有肘关节处稍小，形状类似藕节，所以又名“藕包毒”。这属于手三阳经（手阳明大肠经、手太阳小肠经、手少阳三焦经）病变，由外感风温或风火邪气引起。红肿之外没有晕圈的为顺证；有晕圈的为逆证。初起时，就应当发散解表、清热解毒；成脓后，治疗以清营分热、透达邪热为主；溃破后，以扶助脾胃、滋养阴液为主。
胛痈生在肩膀后方下方，胁肋后方外侧岐骨（肋骨）缝隙之间，或者在左臂，或者在右臂。同属手太阳小肠经，由风火邪气凝结而成。如果生在肩膀前方下方、胁肋前方外侧的上部骨骼缝隙开合的空凹陷中，或者在左边，或者在右边，同属心包络经，名叫“乐疽”，是由血热气郁引起的。初起时有硬结，逐渐肿胀坚硬，大如鹅卵，疼痛深入骨髓，伴有头痛、恶寒发热，治疗用荆芥、防风、夏枯草、贝母、丹参、地丁、金银花、连翘、牡丹皮、黄芩、山栀这类药物。
谨按《内经》所说：西风生于秋季，病位在肺俞穴，部位在肩背，所以秋季的疾病，病位在肩背，那么肩背部的疼痛，应当归责于肺，这是毫无疑问的。但是有风寒、风热、气盛、气虚、痰饮的区别。大概肺主皮毛，皮毛受邪气侵袭，传变到肺，郁遏经络，因而产生疼痛，应当用辛温的药物来发散；或者风热邪气乘袭肺部，使气机郁滞严重的，应当泻除风热，用辛凉的药物来解除。另外肺主气化，并治理调节全身，如果气盛有余，就会壅塞而不运行，阻塞经络，导致肩背疼痛；或者气血不足，就会气短不足以呼吸，也会导致肩背疼痛。气盛则用苦辛的药物泻之，气虚则用甘温的药物补之。另外肺是贮存痰液的器官，肺中素有积痰，随着气流注到经络，导致通道壅塞而产生疼痛，这又应当调理痰浊而顺降气机，因为气机清利则痰自然化解。除此之外又有肾气上逆作痛这一证候，这种逆气就是阴气。肾中阳气虚弱，浊阴之气才会上干犯清阳之位，这种情况应当用甘辛温的药物峻补真阳，从而驱逐阴邪。如果专门调理肺气，反而成了诛伐无罪之处。臂痛的证候，或者是被风寒湿邪搏结；或者是痰饮流入经络隧道，或者是由于提举重物损伤筋脉所致，或者是由于气血凝滞、经络不通而作痛。其治疗方法，风邪则发散它，寒邪则温散它，痰饮则理化痰浊；如果是因伤筋导致血瘀，治疗以通经活血为主。在这些方法之中，总应当辅助使用姜黄、桂枝，因为它们药性横行，是手臂的引经药。
Juepen Ju (Abscess at the Clavicular Fossa) arises in the depression anterior to the shoulder. Initially, there is stiffness and tension in the shoulder and back, severe alternating chills and fever, reduced appetite, and difficult urination. Subsequently, redness, swelling, and pain occur; the sore head resembles a blister, followed by the emergence of several additional heads with a hard, indurated base. This condition is caused by the accumulation of heat and dampness in the Foot-Yangming, Hand-Yangming, Hand-Shaoyang, and Foot-Shaoyang meridians. It requires urgent treatment; otherwise, delay will inevitably lead to ulceration. As this meridian is characterized by scanty blood and abundant Qi, the sore mouth may be difficult to heal. In the initial stage, Chansu Wan (Toad Venom Pill) should be used to induce sweating and detoxify, followed by Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction for Overcoming Toxins). After ulceration, a tonifying and expelling method is appropriate.
Yong (Carbuncle) located below the shoulder and above the upper arm presents as a nodule resembling a peach pit or a goose/duck egg. The skin is red and painful, with swelling throughout the arm both superficially and deeply, except at the elbow joint which is slightly smaller, giving it a lotus-root-like shape; hence it is also called "Oubao Du" (Lotus-Packet Poison). This belongs to the Hand-Taiyang meridians and results from external contraction of Wind-Warmth or Wind-Fire. If the redness and swelling lack an areola, it is a favorable sign (Shun); if an areola is present, it is an unfavorable sign (Ni). At the onset, dispersing and detoxifying measures should be taken immediately. Once pus forms, treatment focuses on clearing the Ying (Nutritive) level and penetrating heat. After ulceration, the primary approach is supporting the Spleen and nourishing Yin.
Jia Yong (Scapular Carbuncle) arises below the posterior shoulder, in the intercostal spaces between the lateral ribs behind the hypochondrium, affecting either the left or right arm. It belongs to the Hand-Taiyang Small Intestine Meridian and is formed by the coagulation of Wind-Fire. If it occurs in the depression at the opening and closing of the bone seams anterior to the lower shoulder and lateral anterior hypochondrium, on either side, it belongs to the Pericardium Meridian and is named Le Ju (Joy Abscess), caused by Blood-Heat and Qi Stagnation. Initially, a nodule appears, gradually becoming swollen and hard, the size of a goose egg, with pain penetrating to the bone, accompanied by headache, chills, and fever. Treatment involves herbs such as Jingjie (Schizonepeta Herba), Fangfeng (Saposhnikovia Root), Xiakucao (Prunella Spica), Beimu (Fritillaria Bulb), Danshen (Salvia Miltiorrhiza), Dideng (Viola Herba), Yinhua (Lonicerae Flos), Lianqiao (Forsythiae Fructus), Danpi (Moutan Cortex), Huangqin (Scutellaria Radix), and Shanzhi (Gardeniae Fructus).
As stated in the Classics: "West wind arises in autumn; disease affects the Lung-Shu point and the shoulder/back." Therefore, diseases in autumn affect the shoulder and back. Consequently, shoulder and back pain should undoubtedly be attributed to the Lung. However, distinctions must be made among Cold-Damp, Wind-Heat, Excess Qi, Deficient Qi, and Phlegm-Fluid retention. The Lung governs the skin and hair; when pathogens invade the skin and hair and transmit to the Lung, they obstruct the meridians, causing pain. This should be treated with acrid-warm herbs to disperse them. If Wind-Heat attacks the Lung, causing severe Qi stagnation, Wind-Heat should be drained using acrid-cool herbs to resolve it. Furthermore, the Lung governs Qi transformation and regulates the whole body. If Qi is excessive, it becomes congested and fails to circulate, blocking the meridians and causing shoulder and back pain. If Qi and Blood are deficient, shortness of breath occurs, also leading to shoulder and back pain. Excess conditions are treated with bitter-acid draining methods, while deficiency conditions are treated with sweet-warm tonifying methods. Additionally, the Lung is the vessel storing Phlegm. Pre-existing Phlegm in the Lung flows with Qi into the meridians, causing obstruction and pain. This requires regulating Phlegm and smoothing Qi, as clear Qi leads to the resolution of Phlegm. Another syndrome involves pain due to rebellious Kidney Qi. This rebellious Qi is Yin Qi. When Kidney Yang is deficient, turbid Yin Qi ascends to disturb the Clear Yang position. This requires strong tonification of True Yang using sweet-acrid-warm herbs to drive out Yin pathogens. Specifically treating only Lung Qi would constitute an unjustified attack on healthy tissue. Arm pain may result from the binding of Cold-Damp-Wind, Phlegm-Fluid flowing into the meridians, injury to sinews from lifting heavy objects, or Qi-Blood stasis obstructing the meridians. Therapeutic methods include dispersing for Wind, warming for Cold, and resolving Phlegm. For blood stasis due to sinew injury, the treatment is to unblock the meridians and invigorate Blood. Among these methods, Jianghuang (Curcuma Longae Rhizoma) and Guizhi (Cinnamomi Ramulus) should always be added as guiding herbs because their action spreads horizontally, targeting the arms.